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[ARTICLE] Revision Facial Contouring Surgery Requires Precise Diagnosis to Restore Facial Balance Through Structural Reconstruction

Revision facial contouring surgery requires thorough evaluation of bone structure, resection extent, causes of facial asymmetry, and nerve location As more patients experience unsatisfactory outcomes following facial contouring surgery—including insufficient improvement, facial asymmetry, sagging cheeks, or bone defects caused by excessive bone reduction—the number of people seeking revision facial contouring surgery continues to rise. Because revision surgery involves correcting facial bones and soft tissues that have already undergone surgery, it is significantly more complex than the initial procedure and requires meticulous surgical planning and advanced technical expertise. In recent years, the approach to revision facial contouring has shifted away from simply removing additional bone to make the face appear smaller. Instead, the focus has moved toward analyzing the structural changes caused by the previous surgery and restoring facial balance. Modern revision procedures empha...
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*Surgery Diary - 11 - "Everything about revision facial contouring surgery"

 [Doctor's Surgery Diary]

- 11 -

"Everything about revision facial contouring surgery"


Let's talk more about revision facial contouring.


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In the first case, the patient visited for a consultation to remove the pin after double jaw surgery.

After CT scans, surgery was planned to improve asymmetry which still remains, and reduce the cheekbone and the length reduction of the chin.


During surgery, all the pins were successfully removed, the cheekbones were reduced to match the proportion, the length of the chin tip was adjusted and the jawline was trimmed as well.



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The second case is a person who visited for a lifting consultation.
The patient had a previous surgical history of the cheekbone, so we took a CT scan to check the bone condition.

All the pins for fixing the cheekbones were broken or out of place. 
On the right side, the patient still felt uncomfortable in the 45-degree cheekbones when eating.


The current condition of the bone was judged to be one of the causes of facial sagging as well as functional problems, so revision cheekbone surgery was performed.


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The last case is where the patient decided on revision surgery since didn't feel much improvement in the side cheekbone, especially on the right side
even if she felt a 45-degree change in the cheekbone area.

On the right side, the 45-degree cheekbones were not sufficiently close attached inwards due to the design of the bone fracture line, which was wider than on the left.
The surgical plan was to partially remove a disturbing bone and re-fixate the cheekbones.


During the surgery, the empty space on the upper part of the cheekbone was large, so I compensated the cut-out bone piece changed to a transplant form.
You can see it in the picture the space is sufficiently filled and the CT results are as follows.


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As you can see, successful surgery requires a harmonious combination of accurate diagnosis, an optimized surgical plan, safe surgery, and meticulous follow-up.


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Location: 대한민국 서울특별시 강남구

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